Healthcare Provider Details

I. General information

NPI: 1386845774
Provider Name (Legal Business Name): RAVIKANTH CHIRAVURI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 NE 213TH ST STE 811
AVENTURA FL
33180-1264
US

IV. Provider business mailing address

1931 NW 150TH AVE STE 265
PEMBROKE PINES FL
33028-2884
US

V. Phone/Fax

Practice location:
  • Phone: 305-396-3858
  • Fax: 305-514-0636
Mailing address:
  • Phone: 305-396-3858
  • Fax: 305-514-0636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME 84617
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME84617
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: